DR. Bethany Wall Jackson, M.D.

NPI #1033396841 in Rome, Georgia

Provider Information

NPI Number: 1033396841
Entity Type: Individual
Name: DR. Bethany Wall Jackson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jan 23, 2008
Last Updated: Apr 16, 2024

Practice Location

Address: 2112 SHORTER AVE NW STE 240
City: Rome
State: Georgia
ZIP Code: 30165-2042
Phone: (706) 368-8575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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